NPI | 1700355138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L10703) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR A5168) |
1041C0700X Social Worker Clinical (Licence: OR A5168) | |
Enumeration Date | 2018-11-14 |
Last Update Date | 2021-09-03 |