NPI | 1164093308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127074) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101525) |
104100000X Social Worker (Licence: CA 101525) | |
Enumeration Date | 2021-07-08 |
Last Update Date | 2024-12-16 |