NPI | 1871374892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0135549) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NH 3110) |
Enumeration Date | 2023-10-06 |
Last Update Date | 2024-05-02 |