NPI | 1972202810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15860) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015726) |
Enumeration Date | 2023-02-28 |
Last Update Date | 2023-06-02 |