NPI | 1750123386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 20692) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2024006447) |
1041C0700X Social Worker, Clinical (Licence: VA 0904016239) | |
1041C0700X Social Worker, Clinical (Licence: AZ 22131) | |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-06-12 |