NPI | 1609302603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 14112) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW008149) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2025-06-16 |