NPI | 1568734796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14921) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078699) |
1041C0700X Social Worker, Clinical (Licence: VA 0904007154) | |
Enumeration Date | 2012-02-03 |
Last Update Date | 2012-04-08 |