NPI | 1023361409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4331-P) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 4331-P) |
Enumeration Date | 2012-10-22 |
Last Update Date | 2012-10-22 |