NPI | 1851886360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 091289) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 091289) |
Enumeration Date | 2018-06-27 |
Last Update Date | 2024-05-13 |