NPI | 1356669253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117584) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-05-17 |
Last Update Date | 2013-04-29 |