NPI | 1073724837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50077810) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12404) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2007-07-08 |