NPI | 1851311997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 1196) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KY 1196) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2024-03-07 |