NPI | 1861979114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 000123526) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 223142) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2024-04-11 |