NPI | 1073864013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-36216) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LCSW-36216) |
Enumeration Date | 2012-10-01 |
Last Update Date | 2020-11-30 |