NPI | 1316268683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 01046) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC300356) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2016-11-16 |