NPI | 1215559901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109085) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101YM0800X Counselor, Mental Health | |
101YM0800X Counselor, Mental Health (Licence: CA 109085) | |
Enumeration Date | 2020-05-15 |
Last Update Date | 2023-08-09 |