NPI | 1790286847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: NE 11403) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11403) |
1041C0700X Social Worker, Clinical (Licence: NE 7220) | |
Enumeration Date | 2018-02-23 |
Last Update Date | 2018-02-23 |