NPI | 1699832790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 23635) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW012918) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2010-12-14 |