NPI | 1295044386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LCSW 1372C) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL PIP 443 1372C) |
Enumeration Date | 2010-10-07 |
Last Update Date | 2010-10-07 |