NPI | 1174958631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L7130) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG60392149) |
Enumeration Date | 2013-09-03 |
Last Update Date | 2023-09-13 |