NPI | 1205384021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A 3800) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8315904-3502) |
Enumeration Date | 2016-09-21 |
Last Update Date | 2016-09-21 |