NPI | 1003498817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200002235) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 25711) |
Enumeration Date | 2021-04-22 |
Last Update Date | 2024-04-29 |