NPI | 1093992927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005971) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005747) |
Enumeration Date | 2008-01-22 |
Last Update Date | 2008-01-22 |