NPI | 1205537859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 113987) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 113987) |
1041C0700X Social Worker, Clinical (Licence: CA 113987) | |
Enumeration Date | 2023-03-10 |
Last Update Date | 2023-06-16 |