NPI | 1477904597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019045963) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2017027929) |
247200000X Technician, Other | |
Enumeration Date | 2016-06-30 |
Last Update Date | 2024-01-04 |