NPI | 1083805451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13071) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078183) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2011-09-07 |