NPI | 1801173620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW5034) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C0007222) |
Enumeration Date | 2011-11-08 |
Last Update Date | 2011-11-08 |