NPI | 1912250051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LMSW32402) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW32402) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2013-06-28 |