NPI | 1023556552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 100580) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 71838) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2022-08-31 |