NPI | 1578204178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929441) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW21596) |
Enumeration Date | 2022-04-06 |
Last Update Date | 2024-03-31 |