NPI | 1013365048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 11697) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34001534A) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2018-04-30 |