NPI | 1003953357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 1349C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 02075) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2007-07-08 |