NPI | 1841300415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006217) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 26677) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2018-08-09 |