NPI | 1164726980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12468) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078036) |
Enumeration Date | 2011-01-08 |
Last Update Date | 2011-01-08 |