NPI | 1669857207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21949) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132494) |
Enumeration Date | 2015-07-24 |
Last Update Date | 2019-02-01 |