NPI | 1568092286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006845) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012890) |
Enumeration Date | 2020-01-22 |
Last Update Date | 2024-04-19 |