NPI | 1912260126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 217741) |
Additional Taxonomies | 104100000X Social Worker (Licence: MA 217741) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2012-06-21 |