NPI | 1427502129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 27340) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2016-08-10 |
Last Update Date | 2024-07-30 |