NPI | 1720143977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-5144) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 00956) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2024-03-15 |