NPI | 1013240019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9181) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW09924668) |
1041C0700X Social Worker, Clinical (Licence: CA 63742) | |
Enumeration Date | 2009-09-09 |
Last Update Date | 2024-05-15 |