NPI | 1265211338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500859-SUPV) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1121378) |
101YM0800X Counselor, Mental Health (Licence: OH I.1500859-SUPV) | |
Enumeration Date | 2023-09-27 |
Last Update Date | 2025-02-20 |