NPI | 1063633154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 6343) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 004609) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2024-07-31 |