NPI | 1194442053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 10308-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2021040414) |
Enumeration Date | 2022-10-21 |
Last Update Date | 2022-10-21 |