NPI | 1174093082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 15768) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15768) |
Enumeration Date | 2018-12-04 |
Last Update Date | 2021-11-03 |