NPI | 1730394719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 5931610-3502) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 21330) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2007-07-13 |