NPI | 1265132336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ASW93616) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW93616) |
Enumeration Date | 2023-03-07 |
Last Update Date | 2023-06-29 |