NPI | 1649668500 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006621) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 72092213) |
Enumeration Date | 2014-12-30 |
Last Update Date | 2021-01-04 |