NPI | 1831656198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19810) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 4958C-S) |
1041C0700X Social Worker, Clinical (Licence: GA CSW008150) | |
Enumeration Date | 2019-02-22 |
Last Update Date | 2023-05-22 |