NPI | 1548497704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-08106) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM X-06611) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2014-11-25 |