NPI | 1053723866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80887) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 63150) |
Enumeration Date | 2014-05-28 |
Last Update Date | 2017-12-26 |