NPI | 1437335528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW 004624) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801086529) |
Enumeration Date | 2008-01-18 |
Last Update Date | 2012-10-27 |