NPI | 1770983967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10956) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NY 663744) |
Enumeration Date | 2014-08-26 |
Last Update Date | 2020-03-16 |