NPI | 1174415483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017644) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC lc200003606) |
Enumeration Date | 2025-07-21 |
Last Update Date | 2025-07-21 |