NPI | 1568914398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011041) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 73692) |
Enumeration Date | 2016-10-27 |
Last Update Date | 2020-01-24 |