NPI | 1417356627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1142-3657c) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 1142-3657c) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2024-08-13 |