NPI | 1679232714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW19396) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW14276) |
1041C0700X Social Worker, Clinical (Licence: FL SW19396) | |
Enumeration Date | 2021-12-16 |
Last Update Date | 2022-07-25 |