NPI | 1346763083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW21739) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL 0000000) |
101YM0800X Counselor, Mental Health (Licence: FL SW21739) | |
Enumeration Date | 2017-07-25 |
Last Update Date | 2024-10-25 |