NPI | 1962693929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007652) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9816) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2024-04-15 |