NPI | 1366836868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW004771) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW10844) |
Enumeration Date | 2015-03-23 |
Last Update Date | 2015-03-23 |