NPI | 1174845119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28099) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 066980 1) |
Enumeration Date | 2010-02-18 |
Last Update Date | 2020-04-06 |