NPI | 1619083805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW-1547) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-04715) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2019-09-16 |