NPI | 1871150797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW03959) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC22382) |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09925825) | |
Enumeration Date | 2019-05-27 |
Last Update Date | 2025-02-20 |