NPI | 1477009041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-36039) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-09-01 |
Last Update Date | 2023-10-05 |