NPI | 1225688088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO MS00000008) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2021033449) |
1041C0700X Social Worker, Clinical (Licence: KS 05586) | |
104100000X Social Worker (Licence: MO 2019015744) | |
Enumeration Date | 2019-09-13 |
Last Update Date | 2023-02-14 |