NPI | 1073849543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078776) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15470) |
Enumeration Date | 2009-10-19 |
Last Update Date | 2015-12-30 |