NPI | 1407324718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927553) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009922060) |
Enumeration Date | 2018-11-05 |
Last Update Date | 2021-07-29 |