NPI | 1083695142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR L13415) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 121040-3501) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2022-08-08 |