NPI | 1164757902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-4127) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: AZ RN058888) |
Enumeration Date | 2009-10-13 |
Last Update Date | 2009-11-09 |