NPI | 1326408907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009282) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13462) |
Enumeration Date | 2016-02-25 |
Last Update Date | 2023-05-13 |