NPI | 1730878000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG50083666) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LCSW223548) |
Enumeration Date | 2023-05-03 |
Last Update Date | 2023-05-03 |