NPI | 1770021164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2012008879) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 7463) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-06 |