NPI | 1316967243 |
---|---|
Former Name | VALERIE A. KACK-BRICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 12327) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 12327) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2018-08-17 |