NPI | 1710208186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25487) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC 50079330) |
Enumeration Date | 2010-06-18 |
Last Update Date | 2022-04-14 |