NPI | 1124479258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253949) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 7668) |
Enumeration Date | 2016-06-30 |
Last Update Date | 2019-04-15 |