NPI | 1154510972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 24765) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW14375) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2009-06-08 |