NPI | 1306465752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927212) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 66842) |
104100000X Social Worker (Licence: TX 66842) | |
Enumeration Date | 2020-04-15 |
Last Update Date | 2023-09-21 |