NPI | 1568024032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4400) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904000745) |
Enumeration Date | 2019-07-03 |
Last Update Date | 2019-07-03 |