NPI | 1245427954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2016030321) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 5658-C) |
1041C0700X Social Worker, Clinical (Licence: KS 4592) | |
Enumeration Date | 2007-09-26 |
Last Update Date | 2019-02-11 |