NPI | 1508319278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-17757) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC16139) |
Enumeration Date | 2016-07-29 |
Last Update Date | 2023-03-30 |