NPI | 1164628905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW 25383) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4044) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2009-04-15 |