NPI | 1972525830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114126) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 212505) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2007-08-10 |