NPI | 1467770107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078897) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16698) |
Enumeration Date | 2010-05-05 |
Last Update Date | 2011-04-25 |