NPI | 1568742492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09419) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-09277) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2020-04-03 |