NPI | 1386079929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079905) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15643) |
1041C0700X Social Worker, Clinical (Licence: VA 0904008551) | |
Enumeration Date | 2013-09-12 |
Last Update Date | 2024-10-10 |