NPI | 1063747657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005905A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3349) |
Enumeration Date | 2009-10-15 |
Last Update Date | 2011-12-09 |