NPI | 1154671477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5458-125) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 10688-120) |
Enumeration Date | 2012-09-13 |
Last Update Date | 2019-09-18 |