NPI | 1720502933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 14637) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 14637) |
Enumeration Date | 2017-07-29 |
Last Update Date | 2022-07-21 |