NPI | 1568014017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL Sw21965) |
163W00000X Registered Nurse (Licence: FL RN9478233) | |
Enumeration Date | 2019-07-15 |
Last Update Date | 2023-09-10 |