NPI | 1871643106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019936) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD 10468) |
1041C0700X Social Worker Clinical (Licence: MD 10468) | |
1041C0700X Social Worker Clinical (Licence: VA 0904014862) | |
Enumeration Date | 2007-01-11 |
Last Update Date | 2025-02-25 |