NPI | 1760012025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20188) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW20188) |
104100000X Social Worker (Licence: FL SW20188) | |
Enumeration Date | 2020-01-24 |
Last Update Date | 2022-09-15 |