NPI | 1467831164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904008858) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50079288) |
1041C0700X Social Worker Clinical (Licence: MD 14558) | |
Enumeration Date | 2015-05-27 |
Last Update Date | 2024-10-09 |