NPI | 1255841599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 10095C) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical (Licence: MO 2020008097) | |
Enumeration Date | 2017-09-30 |
Last Update Date | 2020-10-15 |