NPI | 1942585674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11078) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008207) |
Enumeration Date | 2011-10-13 |
Last Update Date | 2020-11-25 |