NPI | 1578187761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927210) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009922250) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2021-02-19 |