NPI | 1134442916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 4462) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1747) |
Enumeration Date | 2010-03-08 |
Last Update Date | 2010-03-08 |