NPI | 1578613824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005719) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C005719) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2019-03-05 |