NPI | 1790787471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 04206) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC301395) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2007-07-08 |