NPI | 1518664747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2004010912) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 26724-C) |
1041C0700X Social Worker, Clinical (Licence: IL 149010196) | |
Enumeration Date | 2023-02-08 |
Last Update Date | 2025-02-18 |