NPI | 1588193437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 22559) |
1041C0700X Social Worker, Clinical (Licence: VA 0904008200) | |
Enumeration Date | 2017-06-05 |
Last Update Date | 2018-03-17 |