NPI | 1508347683 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL MH16284) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16284) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2019-03-06 |