NPI | 1306558333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: AL 6196C) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 128271) |
Enumeration Date | 2022-12-21 |
Last Update Date | 2025-09-30 |