NPI | 1730672676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079860) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014716) |
1041C0700X Social Worker, Clinical (Licence: MD 29730) | |
Enumeration Date | 2018-06-13 |
Last Update Date | 2023-04-19 |