NPI | 1154752194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW19393) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19393) |
1041C0700X Social Worker, Clinical (Licence: FL 591788265) | |
Enumeration Date | 2013-12-02 |
Last Update Date | 2022-08-10 |