NPI | 1922322106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007319) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14791) |
Enumeration Date | 2010-03-17 |
Last Update Date | 2017-02-14 |