NPI | 1295893626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 8427) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 27782) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2024-02-22 |