NPI | 1053440941 |
---|---|
Professional Name | NONE NONE NONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-03-05 |
Last Update Date | 2019-09-13 |