NPI | 1184973000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115439) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW23535) |
Enumeration Date | 2012-09-06 |
Last Update Date | 2024-04-14 |