NPI | 1104504372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27301) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 27301) |
104100000X Social Worker (Licence: CA 27301) | |
Enumeration Date | 2023-07-07 |
Last Update Date | 2023-07-07 |