NPI | 1215294871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS15519) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS15519) |
104100000X Social Worker (Licence: CA LCS15519) | |
1041S0200X Social Worker, School (Licence: CA LCS15519) | |
106H00000X Marriage & Family Therapist (Licence: CA LCS15519) | |
Enumeration Date | 2012-04-19 |
Last Update Date | 2017-02-24 |