NPI | 1255002176 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW21249) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW21249) |
Enumeration Date | 2021-09-21 |
Last Update Date | 2025-05-28 |