NPI | 1194076075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw006748) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW01527) |
Enumeration Date | 2012-10-02 |
Last Update Date | 2019-05-29 |