NPI | 1760011167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123214) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34009332A) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2023-07-21 |