NPI | 1710197173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1450832SUPV) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical (Licence: MS c6874) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2022-10-11 |