NPI | 1821123274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 761-C) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 761-c) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2015-04-13 |