NPI | 1710316054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005073) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW005467) |
Enumeration Date | 2013-11-07 |
Last Update Date | 2017-01-30 |