NPI | 1982780755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 3212) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C5115) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2016-10-30 |