NPI | 1679866776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C007175) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC C007175) |
Enumeration Date | 2011-05-23 |
Last Update Date | 2011-05-23 |