NPI | 1912160086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 343569-3501) |
Additional Taxonomies | 104100000X Social Worker (Licence: UT 343569-3502) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2014-02-06 |