NPI | 1528372166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924268) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 09924268) |
101YM0800X Counselor, Mental Health (Licence: NE 1966) | |
1041S0200X Social Worker, School (Licence: CO CSW.09924268) | |
Enumeration Date | 2010-08-05 |
Last Update Date | 2024-05-28 |