NPI | 1518203660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 5907) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 5907) |
104100000X Social Worker | |
Enumeration Date | 2012-12-18 |
Last Update Date | 2024-04-05 |