NPI | 1376061788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 113663) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 26813) |
Enumeration Date | 2017-09-06 |
Last Update Date | 2018-10-16 |