NPI | 1457991317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9137-C) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW92166) |
101YM0800X Counselor, Mental Health (Licence: NV 9137-C) | |
Enumeration Date | 2020-01-08 |
Last Update Date | 2023-08-08 |