NPI | 1215313622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079704) |
Additional Taxonomies | 104100000X Social Worker (Licence: MD 17593) |
Enumeration Date | 2015-08-07 |
Last Update Date | 2023-03-14 |