NPI | 1063741510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WI 2508) |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2009-12-11 |
Last Update Date | 2010-02-03 |