NPI | 1124250923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13103) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078013) |
106H00000X Marriage & Family Therapist (Licence: DC LMFT000085) | |
Enumeration Date | 2009-08-13 |
Last Update Date | 2012-06-07 |