NPI | 1891038592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24114) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007938) |
1041C0700X Social Worker, Clinical (Licence: DC LC50080789) | |
Enumeration Date | 2013-04-01 |
Last Update Date | 2025-01-02 |