NPI | 1740690908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12118) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: GA CSW002350) |
1041C0700X Social Worker, Clinical (Licence: GA CSW002350) | |
Enumeration Date | 2014-04-28 |
Last Update Date | 2021-08-13 |