NPI | 1023347952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101566) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 66313) |
101YM0800X Counselor, Mental Health (Licence: CA 101566) | |
Enumeration Date | 2009-12-24 |
Last Update Date | 2023-06-26 |