NPI | 1952723082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 06090) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 03728) |
Enumeration Date | 2014-01-08 |
Last Update Date | 2014-01-08 |