NPI | 1306031422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926437) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 6325) |
Enumeration Date | 2007-09-11 |
Last Update Date | 2020-01-08 |