NPI | 1639633688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL F400-101-83-728-1) |
Additional Taxonomies | 104100000X Social Worker (Licence: FL F400-101-83-728-1) |
Enumeration Date | 2019-01-24 |
Last Update Date | 2019-11-26 |