NPI | 1265100812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA pending) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 225179) |
Enumeration Date | 2021-08-31 |
Last Update Date | 2021-08-31 |