NPI | 1871070169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MD 17925) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010595) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2021-11-30 |