NPI | 1013303833 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW85606) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW65267) |
Enumeration Date | 2015-04-08 |
Last Update Date | 2021-05-05 |