NPI | 1811050685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1505) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1505) |
1041C0700X Social Worker, Clinical (Licence: NE 1505) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2015-01-22 |