NPI | 1376103101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18113) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW13211) |
Enumeration Date | 2019-06-14 |
Last Update Date | 2021-05-28 |