NPI | 1720832496 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200003235) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09930179) |
1041C0700X Social Worker, Clinical (Licence: VA 0904016600) | |
Enumeration Date | 2024-04-17 |
Last Update Date | 2024-04-17 |