NPI | 1144459280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 14541) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS 14541) |
101YS0200X Counselor, School (Licence: CA PPS 090095587) | |
Enumeration Date | 2009-07-10 |
Last Update Date | 2022-02-11 |