NPI | 1699199901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.021905) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2014-02-06 |
Last Update Date | 2020-01-31 |