NPI | 1396892055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006040) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW006295) |
1041C0700X Social Worker, Clinical (Licence: FL SW21082) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2024-01-19 |