NPI | 1417243155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943882) |
Additional Taxonomies | 104100000X Social Worker (Licence: WV SW051112434) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2024-02-28 |