NPI | 1689282006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 012147) |
Additional Taxonomies | 104100000X Social Worker (Licence: CT 5460) |
172V00000X Community Health Worker | |
104100000X Social Worker | |
Enumeration Date | 2020-07-22 |
Last Update Date | 2022-12-19 |