NPI | 1255584819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 5139) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 28638) |
1041C0700X Social Worker, Clinical (Licence: RI ISW03121) | |
Enumeration Date | 2008-10-28 |
Last Update Date | 2025-02-04 |