NPI | 1194209445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15545) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930277) |
1041C0700X Social Worker, Clinical (Licence: TX 107194) | |
1041C0700X Social Worker, Clinical (Licence: MA LICSW124208) | |
Enumeration Date | 2018-09-22 |
Last Update Date | 2024-03-31 |