NPI | 1982009445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11382) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16062) |
101YM0800X Counselor, Mental Health (Licence: MD LC11382) | |
104100000X Social Worker | |
Enumeration Date | 2014-10-27 |
Last Update Date | 2023-01-04 |