NPI | 1992357545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 125102) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 000224931) |
Enumeration Date | 2019-07-14 |
Last Update Date | 2022-07-15 |