NPI | 1912246620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 06378) |
Enumeration Date | 2013-02-01 |
Last Update Date | 2021-05-12 |