NPI | 1447765144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 11189-C) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
225200000X Physical Therapy Assistant (Licence: AR 4228) | |
Enumeration Date | 2017-12-05 |
Last Update Date | 2025-02-11 |