NPI | 1518393230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001243) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE Q1-0001243) |
Enumeration Date | 2013-09-26 |
Last Update Date | 2013-09-26 |