NPI | 1598416497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW16015) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL SW16015) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2022-01-12 |
Last Update Date | 2022-04-27 |