NPI | 1316356991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34008612A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC23294) |
1041C0700X Social Worker, Clinical (Licence: MI 6801106169) | |
Enumeration Date | 2014-08-07 |
Last Update Date | 2024-11-07 |