NPI | 1477219319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127033) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 226909) |
1041C0700X Social Worker, Clinical (Licence: MA 127033) | |
Enumeration Date | 2021-11-15 |
Last Update Date | 2023-10-02 |