NPI | 1174046296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 11623) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-07-20 |
Last Update Date | 2023-09-25 |