NPI | 1144623372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010637) |
Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50080335) |
Enumeration Date | 2014-10-02 |
Last Update Date | 2019-08-23 |