NPI | 1780009043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7892) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84173) |
101YM0800X Counselor, Mental Health (Licence: OR L7892) | |
1041C0700X Social Worker, Clinical (Licence: CA 84173) | |
Enumeration Date | 2014-02-24 |
Last Update Date | 2024-02-21 |