NPI | 1750691473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05739) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2017044320) |
Enumeration Date | 2010-10-15 |
Last Update Date | 2024-06-19 |