NPI | 1962442905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 1507) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 8211) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2007-07-08 |