NPI | 1104086933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 1154) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 1944C) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2008-06-16 |