NPI | 1215280904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC SW.10478 CP) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC SW.10478 CP) |
101YM0800X Counselor, Mental Health (Licence: NC P007687) | |
1041C0700X Social Worker, Clinical (Licence: NC P007687) | |
Enumeration Date | 2012-10-18 |
Last Update Date | 2019-02-27 |