NPI | 1588821094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11220) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005471) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-05-21 |