NPI | 1598281750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009076) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83024) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-08-19 |
Last Update Date | 2024-04-24 |