NPI | 1770969651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14364) |
Additional Taxonomies | 104100000X Social Worker (Licence: LA 14364) |
101YM0800X Counselor, Mental Health | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2015-08-03 |
Last Update Date | 2023-03-27 |