NPI | 1972055374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 58.010663) |
Additional Taxonomies | 104100000X Social Worker (Licence: CT 003364) |
1041S0200X Social Worker, School | |
Enumeration Date | 2016-11-01 |
Last Update Date | 2022-06-24 |