NPI | 1083047351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014022213) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2012008066) |
Enumeration Date | 2013-08-09 |
Last Update Date | 2014-07-15 |