NPI | 1952641805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS C8125) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C8125) |
Enumeration Date | 2013-02-28 |
Last Update Date | 2018-03-17 |