NPI | 1609031194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10931) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P004340) |
Enumeration Date | 2008-07-23 |
Last Update Date | 2015-02-05 |