NPI | 1700221645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 15557) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: FL SW15557) | |
Enumeration Date | 2013-05-06 |
Last Update Date | 2022-02-28 |