NPI | 1336428531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925003) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
1041C0700X Social Worker, Clinical (Licence: MA 118026) | |
Enumeration Date | 2011-08-05 |
Last Update Date | 2018-03-17 |