NPI | 1982347746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256475) |
Additional Taxonomies | 101Y00000X Counselor (Licence: KY 256475) |
Enumeration Date | 2022-04-19 |
Last Update Date | 2022-06-20 |