NPI | 1205434974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 96070) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW96070) |
Enumeration Date | 2020-10-14 |
Last Update Date | 2023-06-09 |