NPI | 1558645473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006614A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC12475) |
Enumeration Date | 2011-10-11 |
Last Update Date | 2015-04-15 |