NPI | 1487135133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VT 097.0134892) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 226725) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2018-08-21 |
Last Update Date | 2021-07-13 |