NPI | 1083795454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LCS17155) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS17155) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2019-10-14 |