NPI | 1154861763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925181) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086327) |
Enumeration Date | 2017-03-01 |
Last Update Date | 2022-01-11 |