NPI | 1982747929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 03599) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302207) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2009-01-22 |