NPI | 1154439545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11511) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0007058SUPV) |
Enumeration Date | 2006-08-27 |
Last Update Date | 2018-09-13 |