NPI | 1750335394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW15803) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO SW004503) |
1041C0700X Social Worker, Clinical (Licence: KS 3550) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2025-07-22 |