NPI | 1699436287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA 22457) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 11852) |
1041C0700X Social Worker, Clinical (Licence: NY 094219) | |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-10-05 |