NPI | 1659324945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113928) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005208) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2010-01-14 |