NPI | 1972664159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS27214) |
Additional Taxonomies | 104100000X Social Worker (Licence: ME LC 10015) |
1041C0700X Social Worker, Clinical (Licence: CA ASW 23427) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2011-07-24 |