NPI | 1457943524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO CSW.09927112) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
Enumeration Date | 2021-02-09 |
Last Update Date | 2021-05-24 |