NPI | 1821305152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA LCSW:4260) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 4260) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2013-03-27 |