NPI | 1639835200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 12623) |
Additional Taxonomies | 104100000X Social Worker (Licence: IA 095642) |
1041C0700X Social Worker, Clinical (Licence: NE 7627) | |
Enumeration Date | 2021-11-09 |
Last Update Date | 2022-10-02 |