NPI | 1235513680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 18501) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 18501) |
1041C0700X Social Worker, Clinical (Licence: FL ISW 9575) | |
Enumeration Date | 2015-07-15 |
Last Update Date | 2022-04-29 |