NPI | 1477640795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 1087) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 200754) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2007-07-08 |