NPI | 1003906975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS24379) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 15578) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2014-11-13 |