NPI | 1154790749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 84362) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW65492) |
101Y00000X Counselor (Licence: CA ASW65492) | |
Enumeration Date | 2015-09-24 |
Last Update Date | 2019-02-06 |