NPI | 1235685819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 13974) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW018919) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2018-06-20 |