NPI | 1649597675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12586) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0900259) |
1041C0700X Social Worker, Clinical (Licence: CA LCS19183) | |
Enumeration Date | 2010-04-30 |
Last Update Date | 2023-05-10 |