NPI | 1801920442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 1482-C) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR 1482-C) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2024-04-03 |