NPI | 1629546544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923674) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1124493283) |
Enumeration Date | 2018-11-08 |
Last Update Date | 2025-05-16 |