NPI | 1013426295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 4508C) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
101YP2500X Counselor Professional (Licence: AL 4508C) | |
Enumeration Date | 2017-09-20 |
Last Update Date | 2022-03-29 |