NPI | 1760619837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078713) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12189) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2009-06-16 |