NPI | 1225657620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124542) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 16249) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2020-04-15 |
Last Update Date | 2024-04-29 |