NPI | 1114628369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005759) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA CSW005759) |
Enumeration Date | 2023-03-14 |
Last Update Date | 2023-03-14 |