NPI | 1760550032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1.2203720) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY Ky-1499) |
Enumeration Date | 2006-12-02 |
Last Update Date | 2022-07-09 |