NPI | 1548839426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927251) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO CSW.09927251) |
104100000X Social Worker (Licence: CO CSW.09927251) | |
Enumeration Date | 2021-06-23 |
Last Update Date | 2023-02-20 |