NPI | 1174851653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2143C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 0897PIP) |
Enumeration Date | 2009-11-22 |
Last Update Date | 2009-11-22 |