NPI | 1306236419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 15641) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC 50080039) |
Enumeration Date | 2015-01-27 |
Last Update Date | 2015-01-27 |