NPI | 1316672322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MD 28719) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD 28719) |
Enumeration Date | 2022-07-22 |
Last Update Date | 2022-11-09 |