NPI | 1659828036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 11021) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 8148-C) |
Enumeration Date | 2016-09-02 |
Last Update Date | 2021-10-04 |