NPI | 1962153791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC p017171) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC PO17171) |
Enumeration Date | 2022-01-13 |
Last Update Date | 2022-12-16 |