NPI | 1407333008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007325) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW007692) |
1041S0200X Social Worker, School (Licence: GA MSW007692) | |
Enumeration Date | 2018-07-26 |
Last Update Date | 2020-10-16 |