NPI | 1306503982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928596) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149023692) |
1041S0200X Social Worker, School (Licence: CO CSW.09928596) | |
Enumeration Date | 2021-11-18 |
Last Update Date | 2024-11-25 |