NPI | 1255894614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW106616) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW106616) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2019-04-11 |
Last Update Date | 2023-06-27 |