NPI | 1932486339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924840) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924840) |
Enumeration Date | 2011-11-14 |
Last Update Date | 2018-10-17 |