NPI | 1982027066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001276) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW015958) |
Enumeration Date | 2014-01-27 |
Last Update Date | 2024-01-03 |