NPI | 1225310253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW12376) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12376) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2024-06-14 |