NPI | 1003263401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW97941) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW66482) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2020-12-02 |