NPI | 1164996914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MH13052) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MH13052) |
Enumeration Date | 2019-01-15 |
Last Update Date | 2019-01-15 |