NPI | 1134448905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078827) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007308) |
1041C0700X Social Worker, Clinical (Licence: MD 15710) | |
Enumeration Date | 2010-05-19 |
Last Update Date | 2019-10-03 |