NPI | 1275632861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50077965) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904003133) |
1041C0700X Social Worker, Clinical (Licence: MD 10638) | |
Enumeration Date | 2006-09-21 |
Last Update Date | 2016-10-28 |