NPI | 1306906201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004403) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 9257) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2011-10-20 |