NPI | 1205137668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH i.0800377) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15557) |
1041C0700X Social Worker, Clinical (Licence: PA CW016412) | |
Enumeration Date | 2010-11-16 |
Last Update Date | 2022-10-04 |