NPI | 1548001837 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MD 30854) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD 30854) |
Enumeration Date | 2024-06-03 |
Last Update Date | 2024-07-09 |