NPI | 1659037026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014150) |
Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
Enumeration Date | 2021-11-10 |
Last Update Date | 2025-05-15 |