NPI | 1679657092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 912) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 419) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-07-08 |