NPI | 1003139635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5147) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 2446-C) |
1041C0700X Social Worker, Clinical (Licence: IL 149013440) | |
Enumeration Date | 2010-03-10 |
Last Update Date | 2010-03-10 |