NPI | 1679992309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-44770) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 068246-1) |
1041C0700X Social Worker, Clinical (Licence: CA LCSW65447) | |
Enumeration Date | 2014-04-09 |
Last Update Date | 2024-09-25 |