NPI | 1821246455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 118466) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2008-09-08 |
Last Update Date | 2020-09-21 |