NPI | 1285189191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929191) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-08-20 |
Last Update Date | 2023-06-14 |