NPI | 1922463512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AK 100515) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AK 100) |
101YM0800X Counselor Mental Health | |
Enumeration Date | 2015-12-23 |
Last Update Date | 2015-12-23 |