NPI | 1184326266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG200001549) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSYA200001283) |
Enumeration Date | 2023-03-21 |
Last Update Date | 2023-03-21 |