NPI | 1144606625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW110846) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-08-06 |
Last Update Date | 2022-11-07 |