NPI | 1528270550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116193) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 22847) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2023-08-03 |