NPI | 1003292327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009689) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 9043) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2016-04-13 |