NPI | 1619462942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WI 18013-130) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C013842) |
Enumeration Date | 2018-06-28 |
Last Update Date | 2021-07-26 |