NPI | 1992847537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8575248-3501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116414) |
1041C0700X Social Worker, Clinical (Licence: CA 27010) | |
104100000X Social Worker (Licence: UT 8575248-3502) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2014-03-27 |