NPI | 1457796047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901696) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW63954) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2021-09-07 |