NPI | 1194255034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: 6801116624) |
Additional Taxonomies | 247200000X Technician, Other |
Enumeration Date | 2017-06-13 |
Last Update Date | 2023-08-22 |