NPI | 1184062051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW91404) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 91404) |
101YM0800X Counselor, Mental Health (Licence: CA ASW 36719) | |
Enumeration Date | 2013-06-12 |
Last Update Date | 2022-07-20 |