NPI | 1053133728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017518) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0904017518) |
251B00000X Case Management | |
251S00000X | |
Enumeration Date | 2024-10-24 |
Last Update Date | 2024-10-24 |