NPI | 1457663726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105800) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1100160) |
1041C0700X Social Worker, Clinical (Licence: WA LW60590072) | |
Enumeration Date | 2010-07-02 |
Last Update Date | 2024-10-17 |