NPI | 1023679768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118953) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89281) |
104100000X Social Worker (Licence: CA 89281) | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2019-06-24 |
Last Update Date | 2024-08-05 |