NPI | 1376679464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW3737) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW 3737) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2014-08-26 |