NPI | 1932508314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 20113) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD 20113) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2014-08-21 |