NPI | 1720435100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13956) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007273) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2023-12-13 |