NPI | 1588238570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61499567) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149023234) |
1041C0700X Social Worker, Clinical (Licence: NV 9309-C) | |
Enumeration Date | 2021-05-14 |
Last Update Date | 2024-01-04 |