NPI | 1871110155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17356) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927368) |
Enumeration Date | 2020-07-02 |
Last Update Date | 2024-12-10 |