NPI | 1265125108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 30696) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-05-26 |
Last Update Date | 2023-10-04 |