NPI | 1770244923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008843) |
Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW009890) |
Enumeration Date | 2022-01-09 |
Last Update Date | 2024-04-01 |