NPI | 1972147288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 12360) |
Additional Taxonomies | 104100000X Social Worker (Licence: CT 4947) |
Enumeration Date | 2019-10-30 |
Last Update Date | 2022-09-01 |