NPI | 1780999169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 217566) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-07476) |
Enumeration Date | 2010-08-10 |
Last Update Date | 2012-04-10 |