NPI | 1336206473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12519) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904006672) |
Enumeration Date | 2007-01-01 |
Last Update Date | 2008-05-13 |