NPI | 1922024363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7594) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 434) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2022-03-07 |