NPI | 1164494258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-11898) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R035089-1) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2007-07-08 |