NPI | 1962029066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12369) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2020-07-06 |
Last Update Date | 2022-12-20 |