NPI | 1750830097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 098328) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: MO 2019024949) | |
Enumeration Date | 2016-09-28 |
Last Update Date | 2024-08-22 |