NPI | 1407136468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2004008560) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 4805) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2011-08-23 |