NPI | 1114915717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6289) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW6289) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2022-08-05 |