NPI | 1245758002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 124352) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 83175) |
Enumeration Date | 2017-08-31 |
Last Update Date | 2024-07-22 |