NPI | 1679263057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW22379) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22379) |
Enumeration Date | 2023-05-10 |
Last Update Date | 2024-07-11 |