NPI | 1427463108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16070) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14500) |
Enumeration Date | 2014-06-21 |
Last Update Date | 2019-08-29 |