NPI | 1013276344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017295) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL05544300) |
Enumeration Date | 2012-05-07 |
Last Update Date | 2012-05-07 |