NPI | 1225497480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000931) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0036355) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2016-02-16 |