NPI | 1235521287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009370) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW12176) |
Enumeration Date | 2015-02-28 |
Last Update Date | 2017-05-09 |