NPI | 1689746810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 20459) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL 10831) |
1041C0700X Social Worker Clinical (Licence: TX 50916) | |
104100000X Social Worker (Licence: NJ 44SLO5416000) | |
Enumeration Date | 2006-11-14 |
Last Update Date | 2015-06-01 |