NPI | 1245545912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 6805-C) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: CA 81985) | |
1041C0700X Social Worker, Clinical (Licence: UT 7976341-3501) | |
Enumeration Date | 2010-08-18 |
Last Update Date | 2024-10-23 |