NPI | 1003648619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2024-08-14 |
Last Update Date | 2024-08-14 |