NPI | 1780012138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17801) |
Additional Taxonomies | 104100000X Social Worker (Licence: MD 17801) |
Enumeration Date | 2013-10-23 |
Last Update Date | 2021-08-10 |