NPI | 1497137269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15840) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008628) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2021-05-07 |