NPI | 1144697988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW116291) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
101YM0800X Counselor, Mental Health (Licence: CA ASW95570) | |
Enumeration Date | 2015-08-27 |
Last Update Date | 2024-04-09 |