NPI | 1386641124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW11577) |
Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NM I-05879) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2016-01-22 |