NPI | 1376061531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50081426) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010979) |
1041C0700X Social Worker, Clinical (Licence: PA CW020629) | |
1041C0700X Social Worker, Clinical (Licence: DE Q1-0001694) | |
Enumeration Date | 2017-09-07 |
Last Update Date | 2022-07-21 |