NPI | 1508053034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2000161360) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1898) |
Enumeration Date | 2007-09-28 |
Last Update Date | 2008-06-05 |