NPI | 1861884223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5119) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.013598) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2018-10-14 |