NPI | 1245732049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 28455) |
Additional Taxonomies | 104100000X Social Worker (Licence: AZ LMSW-11285) |
Enumeration Date | 2018-03-07 |
Last Update Date | 2022-02-03 |