NPI | 1477794790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14239) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2058) |
Enumeration Date | 2009-03-17 |
Last Update Date | 2023-06-23 |