NPI | 1083703318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C00567) |
Additional Taxonomies | 104100000X Social Worker (Licence: COO5657) |
1041C0700X Social Worker, Clinical (Licence: NC P002867) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2022-05-02 |