NPI | 1821439662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 19018) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 19018) |
Enumeration Date | 2013-07-09 |
Last Update Date | 2021-11-10 |