NPI | 1366042251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255102) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 105206) |
Enumeration Date | 2020-10-29 |
Last Update Date | 2022-10-19 |