NPI | 1629694633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NE 11748) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 098953) |
Enumeration Date | 2020-06-25 |
Last Update Date | 2020-06-25 |