NPI | 1205507076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95672) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95672) |
Enumeration Date | 2021-09-22 |
Last Update Date | 2023-09-29 |