NPI | 1306135884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23649) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006732) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2024-10-11 |