NPI | 1619287380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004012) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303209) |
1041C0700X Social Worker, Clinical (Licence: MD 10306) | |
Enumeration Date | 2010-10-15 |
Last Update Date | 2011-12-12 |