NPI | 1275721599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC0031548) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 05410) |
1041C0700X Social Worker, Clinical (Licence: VA 0094001309) | |
Enumeration Date | 2007-10-11 |
Last Update Date | 2007-10-11 |