NPI | 1225702483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: KY 256346) |
Additional Taxonomies | 101Y00000X Counselor (Licence: KY 262577) |
1041C0700X Social Worker, Clinical (Licence: KY 252954) | |
Enumeration Date | 2021-08-02 |
Last Update Date | 2022-12-19 |