NPI | 1689610677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 21877) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 124837-3501) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2012-12-07 |