NPI | 1134561905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-07-22 |
Last Update Date | 2021-11-09 |