NPI | 1578766143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 753) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 006833) |
101YM0800X Counselor, Mental Health (Licence: NE 3448) | |
1041C0700X Social Worker, Clinical (Licence: NE 1303) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2017-02-22 |