NPI | 1164811535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2017031324) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015000274) |
Enumeration Date | 2015-01-22 |
Last Update Date | 2024-09-23 |