NPI | 1215147053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13031) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004376) |
1041C0700X Social Worker, Clinical (Licence: MS C10490) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2024-09-26 |