NPI | 1124136916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50077800) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 111334) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2007-07-08 |