NPI | 1366635088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114600) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13532) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2024-07-23 |