NPI | 1174194948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928703) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009923572) |
Enumeration Date | 2021-07-02 |
Last Update Date | 2023-01-18 |