NPI | 1841733912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17656) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 254624) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2016-11-22 |
Last Update Date | 2021-02-17 |