NPI | 1629389945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20431) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078801) |
1041C0700X Social Worker, Clinical (Licence: VA 0904007178) | |
Enumeration Date | 2010-07-01 |
Last Update Date | 2021-09-15 |