NPI | 1114288388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS92155) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW74580) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2012-06-05 |
Last Update Date | 2023-12-28 |