NPI | 1972919561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20646) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 8054-C) |
Enumeration Date | 2014-07-03 |
Last Update Date | 2024-09-17 |