NPI | 1821349952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW127488) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0810301) |
Enumeration Date | 2012-09-28 |
Last Update Date | 2012-09-28 |