NPI | 1588826085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17617) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW17617) |
1041C0700X Social Worker, Clinical (Licence: CA 125329) | |
Enumeration Date | 2008-06-26 |
Last Update Date | 2024-09-26 |