NPI | 1235646324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker |
101YM0800X Counselor, Mental Health | |
101Y00000X Counselor | |
Enumeration Date | 2018-01-10 |
Last Update Date | 2019-11-01 |