NPI | 1750009809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 24547) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW008645) |
102L00000X Psychoanalyst (Licence: GA MSW008645) | |
171M00000X Case Manager/Care Coordinator (Licence: GA MSW008645) | |
Enumeration Date | 2022-08-16 |
Last Update Date | 2024-03-05 |