NPI | 1720660731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012245) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-04-28 |
Last Update Date | 2023-03-22 |