NPI | 1740277334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10947) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 10947) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2017-08-04 |