NPI | 1720231970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000801) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW122578) |
163W00000X Registered Nurse (Licence: PA RN546433) | |
Enumeration Date | 2008-11-01 |
Last Update Date | 2008-11-01 |