NPI | 1508005091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 08153) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904002663) |
Enumeration Date | 2009-02-06 |
Last Update Date | 2009-02-06 |