NPI | 1053839860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW106335) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW84160) |
Enumeration Date | 2017-08-31 |
Last Update Date | 2024-03-24 |