NPI | 1386407807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0021554) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09928728) |
Enumeration Date | 2024-02-06 |
Last Update Date | 2024-02-06 |