NPI | 1780136796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006109) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14455) |
1041C0700X Social Worker, Clinical (Licence: TN LSW7687) | |
Enumeration Date | 2016-10-26 |
Last Update Date | 2024-08-30 |