NPI | 1417992124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LCSW 11539) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ lcsw 11539) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2007-07-08 |