NPI | 1033661434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009609) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082724) |
1041C0700X Social Worker, Clinical (Licence: MD 28010) | |
Enumeration Date | 2016-11-01 |
Last Update Date | 2024-03-27 |