NPI | 1538615562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011555) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012957) |
1041C0700X Social Worker, Clinical (Licence: KS 05694) | |
Enumeration Date | 2016-08-30 |
Last Update Date | 2024-09-20 |