NPI | 1023609633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5986) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2248) |
Enumeration Date | 2021-01-27 |
Last Update Date | 2023-06-26 |