NPI | 1366956617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 638) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 25) |
Enumeration Date | 2017-11-24 |
Last Update Date | 2017-11-24 |