NPI | 1629202734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5699) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2009-05-05 |
Last Update Date | 2012-12-17 |