NPI | 1538650973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17141) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ISW12386) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2024-08-27 |