NPI | 1154867059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000121840) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 222302) |
Enumeration Date | 2017-01-16 |
Last Update Date | 2019-03-02 |