NPI | 1093220824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6094) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3489) |
Enumeration Date | 2017-12-01 |
Last Update Date | 2017-12-01 |