NPI | 1326113630 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013071) |
Additional Taxonomies | 104100000X Social Worker (Licence: MD 12059) |
1041C0700X Social Worker, Clinical (Licence: NC C005785) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2024-05-16 |