NPI | 1083470967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW26893) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-02-27 |
Last Update Date | 2024-02-27 |