NPI | 1700290905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW020430) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC14828) |
Enumeration Date | 2014-06-16 |
Last Update Date | 2023-10-27 |