NPI | 1245824440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 18666) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW13681) |
1041C0700X Social Worker, Clinical (Licence: GA CSW009282) | |
Enumeration Date | 2021-02-27 |
Last Update Date | 2024-12-02 |