NPI | 1508236423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11370) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR A10249) |
Enumeration Date | 2015-10-05 |
Last Update Date | 2024-08-15 |