NPI | 1205265170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12242) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 110709) |
Enumeration Date | 2013-11-01 |
Last Update Date | 2022-09-23 |