NPI | 1174191258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 258582) |
1041C0700X Social Worker, Clinical (Licence: KY 258582) | |
Enumeration Date | 2021-06-15 |
Last Update Date | 2024-06-28 |