NPI | 1811252497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50080233) |
Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50080022) |
1041C0700X Social Worker, Clinical (Licence: VA 0904011039) | |
1041C0700X Social Worker, Clinical (Licence: MD 18008) | |
Enumeration Date | 2012-07-10 |
Last Update Date | 2021-04-23 |