NPI | 1366749483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2145) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113859) |
1041C0700X Social Worker, Clinical (Licence: ME LC20665) | |
1041C0700X Social Worker, Clinical (Licence: DC LC0000002) | |
Enumeration Date | 2011-02-25 |
Last Update Date | 2023-01-05 |