NPI | 1760061774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 6136689) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-04-06 |
Last Update Date | 2024-01-29 |