NPI | 1659652907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924276) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC13237) |
Enumeration Date | 2011-08-31 |
Last Update Date | 2024-10-01 |