NPI | 1659627024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8297) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005321) |
Enumeration Date | 2012-08-03 |
Last Update Date | 2020-05-02 |