NPI | 1962573832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 00202) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC300400) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2007-07-08 |