NPI | 1841941697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: DC LC20002140) |
Additional Taxonomies | 104100000X Social Worker (Licence: VA 0904014961) |
1041C0700X Social Worker, Clinical (Licence: MD 24897) | |
Enumeration Date | 2022-01-13 |
Last Update Date | 2024-11-18 |