NPI | 1881914786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009918) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9895) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2017-10-09 |