NPI | 1659817724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018012921) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2015011449) |
Enumeration Date | 2017-01-13 |
Last Update Date | 2018-04-25 |