NPI | 1982790424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 05114) |
Additional Taxonomies | 104100000X Social Worker (Licence: MD 05114) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-07-08 |