NPI | 1164162210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50082910) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD LMSW26033) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2022-03-29 |