NPI | 1164720124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20727) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016031) |
1041C0700X Social Worker, Clinical (Licence: ME LC23530) | |
1041C0700X Social Worker, Clinical (Licence: DE Q1-0012203) | |
1041C0700X Social Worker, Clinical (Licence: IN 34006748A) | |
Enumeration Date | 2011-03-01 |
Last Update Date | 2024-05-24 |