NPI | 1467955567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11339) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: 4207813) |
Enumeration Date | 2018-03-14 |
Last Update Date | 2024-04-14 |