NPI | 1336720440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09421) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010653) |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09924060) | |
Enumeration Date | 2021-04-20 |
Last Update Date | 2021-04-20 |