NPI | 1205873692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1199) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3035) |
101YM0800X Counselor, Mental Health (Licence: NE 997) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2025-09-24 |