NPI | 1912281585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7331860-3501) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2011-09-30 |
Last Update Date | 2018-09-21 |