NPI | 1245726488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100509) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83923) |
Enumeration Date | 2018-07-10 |
Last Update Date | 2023-09-21 |