NPI | 1811635824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20100) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MD 20100) |
Enumeration Date | 2022-05-20 |
Last Update Date | 2022-05-20 |