NPI | 1811108004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 12793) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12793) |
1041S0200X Social Worker, School (Licence: MD 12793) | |
Enumeration Date | 2007-05-27 |
Last Update Date | 2007-07-09 |