NPI | 1124411558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 010086) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 116968) |
Enumeration Date | 2015-03-10 |
Last Update Date | 2018-07-25 |