NPI | 1134625213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA PPS-0604180) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006722) |
1041C0700X Social Worker, Clinical (Licence: DC LC303534) | |
Enumeration Date | 2018-04-05 |
Last Update Date | 2018-04-05 |