NPI | 1225407935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21601) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009159) |
Enumeration Date | 2015-09-23 |
Last Update Date | 2022-10-20 |