NPI | 1720679830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW22211) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2021-02-01 |
Last Update Date | 2024-03-08 |