NPI | 1275776809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-30986) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ID LMSW-27480) |
Enumeration Date | 2009-04-13 |
Last Update Date | 2014-03-13 |