NPI | 1992749261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2001027396) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2225) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2017-01-31 |