NPI | 1609538909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19043) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 34352) |
Enumeration Date | 2021-10-13 |
Last Update Date | 2025-09-03 |