NPI | 1386938629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 4970-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 26129) |
Enumeration Date | 2011-06-03 |
Last Update Date | 2011-06-03 |