NPI | 1043647662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL SW11282) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW11282) |
Enumeration Date | 2013-09-27 |
Last Update Date | 2022-03-10 |