NPI | 1720473234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014686) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 8929) |
1041C0700X Social Worker, Clinical (Licence: CT 8929) | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2023-09-28 |