NPI | 1447491196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11577) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW11577) |
Enumeration Date | 2009-03-10 |
Last Update Date | 2023-04-14 |