NPI | 1003081084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 790-123) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WI 201-125) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2008-04-29 |