NPI | 1033475231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW97957) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-04-02 |
Last Update Date | 2021-03-26 |