NPI | 1205211042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924038) |
Enumeration Date | 2015-07-22 |
Last Update Date | 2021-04-14 |