NPI | 1629531215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
104100000X Social Worker | |
Enumeration Date | 2019-04-10 |
Last Update Date | 2023-06-13 |