NPI | 1114209939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: PR 8142) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PR 8142) |
Enumeration Date | 2011-09-19 |
Last Update Date | 2011-09-19 |