NPI | 1134570674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 50081819) |
Additional Taxonomies | 104100000X Social Worker (Licence: MD 21786) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2016-11-18 |