NPI | 1245760479 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: IA 086946) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11197) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2019-04-24 |