NPI | 1568901601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254825) |
Additional Taxonomies | 104100000X Social Worker (Licence: KY 252393) |
1041C0700X Social Worker, Clinical (Licence: IN 34009273A) | |
Enumeration Date | 2017-02-22 |
Last Update Date | 2023-01-20 |