NPI | 1982780201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7022) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 59431893502) |
Enumeration Date | 2006-10-30 |
Last Update Date | 2019-06-26 |