NPI | 1164418380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 436) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 436) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2007-07-08 |