NPI | 1629273362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14811) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11944) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2016-05-24 |