NPI | 1649463845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116789) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-08-21 |
Last Update Date | 2020-06-15 |