NPI | 1619555109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 126535) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 226452) |
Enumeration Date | 2021-03-29 |
Last Update Date | 2023-05-25 |