NPI | 1215101308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6145) |
Additional Taxonomies | 104100000X Social Worker |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2008-04-18 |
Last Update Date | 2014-05-08 |