NPI | 1629733233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007623) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 20197) |
1041C0700X Social Worker, Clinical (Licence: PA CW020514) | |
1041C0700X Social Worker, Clinical (Licence: CA 87335) | |
Enumeration Date | 2021-11-08 |
Last Update Date | 2021-11-08 |