NPI | 1346880747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24795) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011456) |
1041C0700X Social Worker, Clinical (Licence: DC LC50081842) | |
Enumeration Date | 2020-01-14 |
Last Update Date | 2023-08-31 |