NPI | 1720437676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253467) |
Additional Taxonomies | 104100000X Social Worker (Licence: KY 7398) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2018-10-22 |