NPI | 1689295040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50079502) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker Clinical (Licence: MD 19589) | |
Enumeration Date | 2020-04-27 |
Last Update Date | 2020-07-20 |