NPI | 1902090731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079310) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 1931) |
Enumeration Date | 2007-09-05 |
Last Update Date | 2011-11-05 |