NPI | 1518672294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 10158) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 13309) |
1041C0700X Social Worker, Clinical (Licence: MN 31129) | |
Enumeration Date | 2023-01-18 |
Last Update Date | 2025-03-12 |