NPI | 1013349901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 11308) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 21681) |
1041C0700X Social Worker, Clinical (Licence: WA LW 00005478) | |
1041C0700X Social Worker, Clinical (Licence: NV 6007-C) | |
Enumeration Date | 2013-08-02 |
Last Update Date | 2013-08-02 |