NPI | 1215132899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17787) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080087) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2014-06-09 |