NPI | 1225678089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006760) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
1041C0700X Social Worker, Clinical (Licence: AL 5210C) | |
Enumeration Date | 2020-01-09 |
Last Update Date | 2023-05-09 |