NPI | 1427646983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113613) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IN 34008995A) |
Enumeration Date | 2021-01-09 |
Last Update Date | 2022-12-07 |