NPI | 1871626549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 07783) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005706) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2013-01-03 |