NPI | 1811259351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW11135) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2023-12-20 |