NPI | 1780942920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1105) |
Additional Taxonomies | 104100000X Social Worker (Licence: NE 1568) |
1041C0700X Social Worker Clinical (Licence: IA 007229) | |
Enumeration Date | 2012-04-25 |
Last Update Date | 2023-03-17 |