NPI | 1174674311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 115) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CO-115) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2020-03-20 |