NPI | 1164151262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 7177) |
Additional Taxonomies | 104100000X Social Worker (Licence: CT MSW-temp) |
Enumeration Date | 2022-06-06 |
Last Update Date | 2024-04-15 |