NPI | 1811026735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50078612) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14960) |
1041C0700X Social Worker, Clinical (Licence: VA 0904012618) | |
Enumeration Date | 2007-03-05 |
Last Update Date | 2023-03-20 |