NPI | 1740581164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18279) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075317) |
1041C0700X Social Worker, Clinical (Licence: VA 0904008556) | |
Enumeration Date | 2010-11-17 |
Last Update Date | 2020-12-20 |