NPI | 1457700312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925885) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4487) |
1041C0700X Social Worker, Clinical (Licence: WA 60992547) | |
Enumeration Date | 2016-06-10 |
Last Update Date | 2025-09-07 |