NPI | 1285117648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C0132332) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012830) |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09929417) | |
Enumeration Date | 2018-09-12 |
Last Update Date | 2025-05-21 |