NPI | 1104952068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13245) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 13245) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2024-01-28 |