NPI | 1043844699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50082858) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LG50082397) |
Enumeration Date | 2020-02-22 |
Last Update Date | 2025-01-13 |