NPI | 1629318225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017888) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA CW-SW128097) |
Enumeration Date | 2013-02-20 |
Last Update Date | 2015-10-02 |