NPI | 1467122713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256177) |
Additional Taxonomies | 104100000X Social Worker (Licence: KY 253847) |
Enumeration Date | 2021-09-17 |
Last Update Date | 2021-11-02 |