NPI | 1245821644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MT BBH-LCSW-LIC-48179) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 199825) |
Enumeration Date | 2021-01-28 |
Last Update Date | 2023-08-16 |