NPI | 1326775180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW20226) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW20226) |
Enumeration Date | 2022-08-02 |
Last Update Date | 2022-12-21 |