NPI | 1932867751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11881) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW5852) |
Enumeration Date | 2021-11-30 |
Last Update Date | 2025-08-18 |