NPI | 1386988202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA SW129897) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA SW129897) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |