NPI | 1598199556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121129) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA s73409145) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2018-08-28 |