NPI | 1194407163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG200002638) |
Additional Taxonomies | 104100000X Social Worker (Licence: AL 3909G) |
Enumeration Date | 2023-08-01 |
Last Update Date | 2023-08-01 |