NPI | 1215498100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P016367) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 24659) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2021-06-28 |