NPI | 1073877429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011442) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12128) |
Enumeration Date | 2012-06-30 |
Last Update Date | 2019-01-16 |