NPI | 1821443755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6976-C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-05744) |
1041C0700X Social Worker, Clinical (Licence: LA 4100) | |
Enumeration Date | 2016-04-28 |
Last Update Date | 2016-04-28 |