NPI | 1497941819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15930) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8317) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2012-04-26 |