NPI | 1750762613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05777) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009922110) |
1041C0700X Social Worker, Clinical (Licence: CO 09925826) | |
Enumeration Date | 2015-06-16 |
Last Update Date | 2022-08-02 |