NPI | 1003953787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10076) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005161) |
1041C0700X Social Worker, Clinical (Licence: NY 73078336) | |
1041C0700X Social Worker, Clinical (Licence: FL SW12263) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2017-12-18 |