NPI | 1700524485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19879) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 16187) |
Enumeration Date | 2022-05-23 |
Last Update Date | 2024-12-02 |