NPI | 1255092581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006950) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13456) |
1041C0700X Social Worker, Clinical (Licence: DC LC50082640) | |
Enumeration Date | 2022-01-08 |
Last Update Date | 2022-01-08 |