NPI | 1538485909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16811) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015293) |
Enumeration Date | 2010-04-10 |
Last Update Date | 2019-09-06 |