NPI | 1144779588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928104) |
Additional Taxonomies | 104100000X Social Worker |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2016-09-27 |
Last Update Date | 2022-06-24 |