NPI | 1962977900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 50081615) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17828) |
Enumeration Date | 2018-10-05 |
Last Update Date | 2019-10-03 |