NPI | 1295811644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 04766) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA cw016995) |
Enumeration Date | 2006-10-28 |
Last Update Date | 2019-11-07 |