NPI | 1194293340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1781) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2022) |
Enumeration Date | 2018-11-06 |
Last Update Date | 2024-01-18 |