NPI | 1285750133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29885) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
225400000X Rehabilitation Practitioner | |
101YM0800X Counselor, Mental Health (Licence: CA 29885) | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2014-12-10 |