NPI | 1760861181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924889) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118816) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2023-11-07 |