NPI | 1386771558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007354) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW18930) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2016-03-29 |