NPI | 1336593672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010176) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 002710) |
Enumeration Date | 2016-04-22 |
Last Update Date | 2022-01-29 |