NPI | 1427243765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007420) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA Csw006729) |
1041C0700X Social Worker, Clinical (Licence: SC 9847) | |
Enumeration Date | 2007-09-10 |
Last Update Date | 2019-03-19 |