NPI | 1164977039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904008913) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
1041C0700X Social Worker Clinical (Licence: FL SW18445) | |
363A00000X Physician Assistant (Licence: FL 18445) | |
363LF0000X Nurse Practitioner Family (Licence: FL 18445) | |
Enumeration Date | 2016-08-22 |
Last Update Date | 2023-10-27 |