NPI | 1316456387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH15388) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL MH15388) |
Enumeration Date | 2017-09-21 |
Last Update Date | 2022-09-14 |