NPI | 1407894017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16112) |
Additional Taxonomies | 104100000X Social Worker (Licence: SC 9952) |
1041C0700X Social Worker, Clinical (Licence: MA 113570) | |
Enumeration Date | 2006-06-04 |
Last Update Date | 2024-01-08 |