NPI | 1023597325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 72714) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW72714) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2021-02-26 |