NPI | 1578208575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 104989) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 104989) |
104100000X Social Worker (Licence: MO 2022010288) | |
Enumeration Date | 2022-05-03 |
Last Update Date | 2024-09-06 |