NPI | 1154895068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15891) |
Additional Taxonomies | 104100000X Social Worker (Licence: FL SW15891) |
1041C0700X Social Worker, Clinical (Licence: IN 34010721A) | |
Enumeration Date | 2019-01-14 |
Last Update Date | 2024-06-27 |