NPI | 1942773403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DC LC50082038) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904010833) |
1041C0700X Social Worker Clinical (Licence: PA CW019758) | |
Enumeration Date | 2019-01-08 |
Last Update Date | 2019-01-08 |