NPI | 1124619242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 9188-123) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 9188-123) |
Enumeration Date | 2021-02-01 |
Last Update Date | 2023-11-14 |