NPI | 1306392782 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9180) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 119854) |
Enumeration Date | 2016-08-26 |
Last Update Date | 2019-06-17 |