NPI | 1346839065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 11266) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CT 11266) |
Enumeration Date | 2021-01-16 |
Last Update Date | 2021-01-26 |