NPI | 1831123140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA lcs 10213) |
Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: CA lcs10213) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-07-08 |