NPI | 1730234394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 113679) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NH 1472) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2015-12-10 |