NPI | 1326087420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923295) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 5374803-3501) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2015-02-12 |