NPI | 1316564065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011770) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC c015878) |
1041C0700X Social Worker, Clinical (Licence: DE Q1-0012252) | |
Enumeration Date | 2020-06-29 |
Last Update Date | 2023-10-23 |