NPI | 1487634382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NE 17) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 626) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2007-07-08 |