NPI | 1821719477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20295) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW20295) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2023-03-08 |