NPI | 1124440029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 10504-C) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09929813) | |
Enumeration Date | 2014-01-10 |
Last Update Date | 2024-07-02 |