NPI | 1740613223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001230) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017393) |
Enumeration Date | 2013-08-19 |
Last Update Date | 2015-12-12 |