NPI | 1164809836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007465) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW006090) |
101YM0800X Counselor, Mental Health (Licence: GA CSW007465) | |
Enumeration Date | 2015-05-01 |
Last Update Date | 2023-08-18 |