NPI | 1134254659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116144) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker (Licence: MA 116144) | |
Enumeration Date | 2007-02-23 |
Last Update Date | 2020-02-03 |