NPI | 1124027537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q10000204) |
Additional Taxonomies | 101Y00000X Counselor (Licence: DE Q10000204) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2020-10-23 |