NPI | 1629213202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 6116) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 00122-C) |
Enumeration Date | 2008-12-10 |
Last Update Date | 2008-12-10 |