NPI | 1588770523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10061) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904001503) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2007-07-09 |