NPI | 1215574686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023013968) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2020039603) |
Enumeration Date | 2019-12-04 |
Last Update Date | 2023-04-24 |