NPI | 1669818001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008513) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50079994) |
1041C0700X Social Worker, Clinical (Licence: MD 17688) | |
Enumeration Date | 2013-05-13 |
Last Update Date | 2022-09-01 |