NPI | 1629183892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 108023) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904002192) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2007-07-08 |