NPI | 1306921697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3389) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C6554) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2017-03-16 |