NPI | 1073911954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW93054) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
251S00000X | |
Enumeration Date | 2014-12-09 |
Last Update Date | 2023-06-20 |