NPI | 1295264463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 086218) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-06-09 |
Last Update Date | 2020-04-28 |