NPI | 1245632124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001415) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018714) |
Enumeration Date | 2014-09-22 |
Last Update Date | 2018-02-12 |