NPI | 1023594728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76860) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 76860) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2018-07-16 |
Last Update Date | 2025-04-01 |