NPI | 1811392368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ 18292) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 1655) |
1041C0700X Social Worker Clinical (Licence: NE 1679) | |
Enumeration Date | 2014-10-27 |
Last Update Date | 2020-03-10 |