NPI | 1124351317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 07290) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302151) |
Enumeration Date | 2009-09-07 |
Last Update Date | 2009-09-07 |