NPI | 1902179633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L5764) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2012-02-10 |
Last Update Date | 2015-01-24 |