NPI | 1245886241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023004758) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019031610) |
Enumeration Date | 2019-08-15 |
Last Update Date | 2024-10-07 |