NPI | 1730458639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5913) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007694) |
Enumeration Date | 2011-12-21 |
Last Update Date | 2014-04-08 |