NPI | 1861894644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09944) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 20427) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2017-11-22 |