NPI | 1790326155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022333) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW136214) |
Enumeration Date | 2019-10-07 |
Last Update Date | 2022-08-11 |