NPI | 1700323565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018039325) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2016017354) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2020-10-29 |