NPI | 1790847515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DE PC-0011145) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DE Q3-0000249) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2023-12-21 |