NPI | 1255975546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 121323) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
1041S0200X Social Worker School | |
Enumeration Date | 2019-10-30 |
Last Update Date | 2024-05-31 |