NPI | 1265973119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015491) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200002699) |
1041C0700X Social Worker, Clinical (Licence: AR 8173-C) | |
Enumeration Date | 2017-03-12 |
Last Update Date | 2023-08-07 |