NPI | 1023651197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ACSW95052) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW95052) |
Enumeration Date | 2019-10-22 |
Last Update Date | 2023-07-06 |