NPI | 1467888149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 1137P-S) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 106184) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2022-08-24 |