NPI | 1447658059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LSW-2543) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-12-12 |
Last Update Date | 2018-06-18 |