NPI | 1063794261 |
---|---|
Former Name | MARGO COHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L6324) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6324) |
101Y00000X Counselor (Licence: OR L6324) | |
Enumeration Date | 2011-09-13 |
Last Update Date | 2016-01-07 |