NPI | 1114361615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 4337) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 4337) |
Enumeration Date | 2013-04-26 |
Last Update Date | 2020-09-23 |