NPI | 1417103391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2342c) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-08-12 |
Last Update Date | 2019-06-11 |