NPI | 1972043701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25530) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134150) |
Enumeration Date | 2017-02-27 |
Last Update Date | 2024-10-07 |