NPI | 1912276387 |
---|---|
Former Name | MARIA KATRINA BORROMEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9384) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE LMHP-4245, CMSW 1503) |
Enumeration Date | 2011-12-14 |
Last Update Date | 2014-11-06 |