NPI | 1902951619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c006075) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C006075) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2017-02-08 |