NPI | 1508233255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924095) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 0009920729) |
Enumeration Date | 2015-08-28 |
Last Update Date | 2019-06-10 |