NPI | 1285969444 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8683-123) |
Additional Taxonomies | 104100000X Social Worker (Licence: TN LSW0000009818) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2009-10-06 |
Last Update Date | 2021-04-05 |