NPI | 1063903680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 129731-121) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 129731-121) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2018-05-21 |