NPI | 1730399288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 02572) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE 0000536) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2009-11-24 |