NPI | 1518563733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20914) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082232) |
Enumeration Date | 2020-12-11 |
Last Update Date | 2020-12-11 |