NPI | 1982176624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21931) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200001509) |
1041C0700X Social Worker, Clinical (Licence: VA 0904013588) | |
Enumeration Date | 2018-12-19 |
Last Update Date | 2023-04-24 |