NPI | 1285908939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 92157) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 74906) |
Enumeration Date | 2012-02-28 |
Last Update Date | 2024-04-30 |