NPI | 1558779272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6461-C) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 6461-C) |
Enumeration Date | 2014-07-25 |
Last Update Date | 2023-05-24 |