NPI | 1972739142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 119161) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
1041C0700X Social Worker Clinical | |
1041C0700X Social Worker Clinical (Licence: PA CW017871) | |
Enumeration Date | 2009-06-02 |
Last Update Date | 2015-11-20 |