NPI | 1205821188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW002696) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069620-1 R) |
Enumeration Date | 2005-09-15 |
Last Update Date | 2012-01-13 |