NPI | 1780247122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD 4862) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 4862) |
Enumeration Date | 2019-04-22 |
Last Update Date | 2022-02-08 |