NPI | 1225893340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 16623) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 259908) |
1041C0700X Social Worker, Clinical (Licence: AL 5711c) | |
Enumeration Date | 2024-02-19 |
Last Update Date | 2025-01-06 |