NPI | 1225623705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW19973) |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA MSW006209) |
Enumeration Date | 2021-03-05 |
Last Update Date | 2022-10-06 |