NPI | 1407448194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 26272) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0903003077) |
Enumeration Date | 2021-02-04 |
Last Update Date | 2022-11-03 |