NPI | 1376568592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C001967) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C001967) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2022-05-04 |