NPI | 1053565713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW112644) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW75019) |
Enumeration Date | 2008-11-07 |
Last Update Date | 2022-12-30 |