NPI | 1679902480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4181) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 32286) |
Enumeration Date | 2013-11-03 |
Last Update Date | 2015-05-08 |