NPI | 1922364744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 15745) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
104100000X Social Worker | |
Enumeration Date | 2012-04-05 |
Last Update Date | 2025-03-07 |