NPI | 1164803961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019007099) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 9586) |
Enumeration Date | 2015-06-17 |
Last Update Date | 2019-03-12 |