NPI | 1205389699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020223) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133364) |
Enumeration Date | 2016-08-02 |
Last Update Date | 2024-06-03 |