NPI | 1568813962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 9793828-3501) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UT 9793828-3501) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2021-02-04 |