NPI | 1225443203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101886) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 65816) |
104100000X Social Worker (Licence: NY P93111) | |
Enumeration Date | 2014-06-27 |
Last Update Date | 2022-02-21 |