NPI | 1215415328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 114747) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 108148) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2023-08-08 |