NPI | 1104571223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5188-0) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
104100000X Social Worker | |
Enumeration Date | 2022-02-17 |
Last Update Date | 2024-09-16 |