NPI | 1972005460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926410) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LSW.0009921659) |
Enumeration Date | 2018-03-01 |
Last Update Date | 2019-12-19 |