NPI | 1164801403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS19549) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS19549) |
1041S0200X Social Worker, School (Licence: CA LCS19549) | |
102L00000X Psychoanalyst (Licence: CA LCS19549) | |
Enumeration Date | 2015-05-20 |
Last Update Date | 2022-09-08 |