NPI | 1699412304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-45066) |
Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-37156) |
Enumeration Date | 2022-05-14 |
Last Update Date | 2025-04-03 |