NPI | 1174802052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4410) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1146) |
1041C0700X Social Worker, Clinical (Licence: MO 2013044013) | |
Enumeration Date | 2011-08-10 |
Last Update Date | 2021-04-07 |