NPI | 1932295144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC Coo3843) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC Coo3843) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2023-09-06 |