NPI | 1417139049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6960-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW 3461) |
Enumeration Date | 2007-12-05 |
Last Update Date | 2013-06-13 |