NPI | 1447709936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19597) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079433) |
1041C0700X Social Worker, Clinical (Licence: VA 0904009450) | |
Enumeration Date | 2016-09-26 |
Last Update Date | 2025-03-25 |