NPI | 1588393904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 3401062A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical (Licence: FL sw21876) | |
Enumeration Date | 2022-06-09 |
Last Update Date | 2025-03-01 |