NPI | 1306917414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW016650) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA SW127810) |
Enumeration Date | 2006-11-11 |
Last Update Date | 2016-02-08 |