NPI | 1285258939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24522) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303431) |
Enumeration Date | 2020-05-28 |
Last Update Date | 2023-04-12 |