NPI | 1104484294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 107909) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 89485) |
1041C0700X Social Worker Clinical | |
1041C0700X Social Worker Clinical (Licence: 89485) | |
Enumeration Date | 2019-06-03 |
Last Update Date | 2022-05-03 |