NPI | 1578506580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13421) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD G10487) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2018-11-20 |