NPI | 1194416727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2445) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 124483) |
Enumeration Date | 2023-05-16 |
Last Update Date | 2023-05-16 |