NPI | 1790122737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50079682) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 16761) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2013-05-31 |