NPI | 1255671707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29136) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 29136) |
104100000X Social Worker (Licence: CA 29136) | |
Enumeration Date | 2013-02-20 |
Last Update Date | 2013-02-20 |