NPI | 1205306420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 157316) |
Additional Taxonomies | 104100000X Social Worker (Licence: AK 140136) |
1041C0700X Social Worker, Clinical (Licence: NY 100891) | |
Enumeration Date | 2018-11-30 |
Last Update Date | 2020-09-28 |