NPI | 1265054720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW021786) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA LCSW73544) |
Enumeration Date | 2020-05-07 |
Last Update Date | 2024-07-23 |