NPI | 1558606970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18141) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60196346) |
Enumeration Date | 2012-12-11 |
Last Update Date | 2012-12-11 |