NPI | 1316355654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS25934) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 31638) |
1041C0700X Social Worker, Clinical (Licence: KY KY-1338) | |
Enumeration Date | 2014-07-31 |
Last Update Date | 2014-07-31 |