NPI | 1396809059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 006049) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CT 006049) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2014-11-06 |