NPI | 1578606281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 03067) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC 30035) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2020-02-28 |