NPI | 1528306701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117404) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16607) |
Enumeration Date | 2013-01-23 |
Last Update Date | 2020-06-18 |