NPI | 1164849659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081600) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011593) |
Enumeration Date | 2014-03-24 |
Last Update Date | 2022-02-05 |