NPI | 1134177678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3156) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 37976) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2007-07-08 |