NPI | 1184041220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW60982) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 8761-C) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2020-06-09 |