NPI | 1235795667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11228600-3501) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-05-10 |
Last Update Date | 2020-08-19 |