NPI | 1194335497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 008359) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 008359) |
Enumeration Date | 2020-08-03 |
Last Update Date | 2024-11-04 |