NPI | 1760570634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1023125) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1245) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-08 |