NPI | 1326236480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC lc50077967) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12728) |
Enumeration Date | 2007-10-13 |
Last Update Date | 2019-03-05 |