NPI | 1184774317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113609) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 8605) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2018-12-27 |